Knee Arthritis Specialist in New Jersey
The knees are the two major weight bearing joints in our body, and over time, are subject to extreme physical stresses. Whether you’re a runner, a policeman, or a stay-at-home mom, day-to-day activities can, over time, result in the deterioration of the cartilage within the knee joints. There are two types of arthritis: Non-Inflammatory and Inflammatory. Inflammatory arthritis, which is only present with another medical condition, such as rheumatoid arthritis or ulcerative colitis, is an autoimmune response where the immune system attacks its own tissue in joints and causes arthritis. Non-inflammatory arthritis, or more commonly referred to as osteoarthritis, is the “wear and tear” arthritis, since it’s caused by stress to the joint over time. While it’s most common in older adults, young people can have osteoarthritis as well if they’ve suffered a sports trauma, have a genetic predisposition, or are obese.
Common symptoms of arthritis include swelling and pain around joints, stiffness and weakness in joints, being unable to bear weight, and limping. An MRI and blood test are used to determine the extent of the arthritis, and to diagnose any additional autoimmune or inflammatory disorders. The majority of arthritis is treated non-surgically, through a combination of oral medications, injectable medications, bracing, and physical therapy. When an instance occurs where arthritis has caused a significant amount of cartilage loss, reconstructive surgery consisting of resurfacing of the joint, implant systems, or partial knee replacement may be utilized depending on the extent of the degradation of the knee cartilage.
Knee Microfracture Surgery is a fairly new procedure used to repair knee cartilage, but it is yielding a high success rate. In this method of treatment, doctors drill small holes in the bone nearest to the damaged cartilage. The holes, called microfractures, release cells stored within the bone that will attach themselves to the damaged cartilage and begin to regenerate new cartilage tissue.
Autologous Chondrocyte Implantation, or ACI, is a two-step procedure that is performed on damaged cartilage in the knee. The first step is a short arthroscopic procedure that harvests a small portion of cartilage from the patient’s knee. These cartilage cells are then sent to a laboratory specializing in cell expansion, where they are grown into a culture. This process takes 4-6 weeks before NJOI will receive the cell culture. The second stage of the procedure consists of a small patch being sewn over the cartilage defect, then injecting the cell culture beneath the patch, where the cells will attach to the existing cartilage to repair the tear or degeneration.
The staff at NJOI also offers patients the Osteoarticular Transfer System, or OATS, which uses healthy cartilage from another part of the joint to replace arthritically-damaged knee cartilage. The procedure is meant of patients who have smaller areas of cartilage damage that would be easily repaired via graft, rather than full replacement.
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Meet The Team
Vincent K. McInerney, M.D.
Founding member, Vincent K. McInerney, M.D., graduated from Rutgers New Jersey Medical School in 1977 with honors as one of the top medical students in his class.
Anthony Festa, M.D.
Dr. Anthony Festa is an orthopaedic surgeon in his seventh year of practice at the New Jersey Orthopaedic Institute.
Anthony J. Scillia, M.D.
Anthony J. Scillia M.D. is a board certified orthopaedic surgeon with subspecialty certification in sports medicine.
Robert M. Palacios, M.D.
SPORTS MEDICINE PHYSICIAN
Dr. Robert Palacios is board-certified and fellowship trained, and has been specializing in outpatient orthopedics and sports medicine for over two decades.
Craig Wright, M.D.
ORTHOPAEDIC TRAUMA SURGEON
Craig Wright, MD joins New Jersey Orthopaedic Institute by way of Totowa, NJ where he was born and raised.
"Doctors and staff very knowledgeable. Staff very friendly and helpful. Procedure I had went well and staff at surgical center very nice. My procedure went very smoothly. Follow up by staff impressive. Neat office; inviting. Would definitely recommend Dr. Festa to anyone in need of such services."
"Hurt my hand in work. Came here thru my company. Happy with the Doctor and the Service. Good Location. Would recommend to others."